Lemoigne F, Blaive B, Chabert J M, Bocquet J P
Poumon Coeur. 1982 May-Jun;38(3):189-95.
Two patients with severe forms of legionnaires' disease presented similar manifestations of a confusional syndrome, a major infectious syndrome resistant to cyclines, beta-lactams, and aminoglycosides, altered hepatic and renal functions, and a fulminating course with the need for assisted ventilation in one case. Indirect immunofluorescence serology gave very positive results in both patients and changes in serum levels were reported 6 and 8 months after the onset of the disease. A serotype I strain of Legionella pneumophila was isolated by direct immunofluorescence from bronchial aspiration products in the second case. These cases are discussed in relation to reports in the published literature.
两名患有重症军团病的患者表现出相似的精神错乱综合征症状，这是一种对四环素、β-内酰胺类和氨基糖苷类药物耐药的主要感染综合征，伴有肝肾功能改变，其中一例病情呈暴发性发展，需要进行辅助通气。两名患者的间接免疫荧光血清学检测结果均为强阳性，且在疾病发作后6个月和8个月报告了血清水平的变化。在第二例患者中，通过直接免疫荧光从支气管抽吸物中分离出嗜肺军团菌血清型I菌株。结合已发表文献中的报道对这些病例进行了讨论。
